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    "titulo" => "Tratamiento de las secuelas dolorosas de la cirugía discal del raquis lumbar con estimulación medular"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan los resultados del tratamiento del dolor cr&#243;nico secuela de la cirug&#237;a discal del raquis lumbar mediante estimulaci&#243;n el&#233;ctrica medular &#40;EEM&#41;&#46; Un total de 39 pacientes fueron sometidos a prueba y 33 implantados definitivamente&#46; La cl&#237;nica predominante era&#58; lumbalgia en 3 pacientes&#44; dolor por deaferentaci&#243;n secundario a una lesi&#243;n radicular severa en 5 casos y&#44; finalmente&#44; ciatalgia en 31 casos&#46; En todos los casos se realiz&#243; la implantaci&#243;n con t&#233;cnica percut&#225;nea&#44; utilizando en la mayor parte de los mismos electrodos cuadripolares y sistemas totalmente implantables&#46; El nivel raqu&#237;deo de localizaci&#243;n de los electrodos estaba entre D11 y L1&#46; Un total de 33 pacientes fueron implantados y 29 contin&#250;an haciendo uso de la EEM para controlar el dolor&#46; Las complicaciones fueron menores&#44; salvo una infecci&#243;n en un paciente que oblig&#243; a retirar el sistema&#46; Los resultados indican que la EEM es &#250;til para tratar la ci&#225;tica somat&#243;gena secuela de la cirug&#237;a del raquis lumbar&#44; mientras que si la cl&#237;nica predominante es la lumbalgia o el dolor por deaferentaci&#243;n no hay indicaci&#243;n para la EEM&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The results of the treatment of the failed back syndrome using spinal cord stimulation &#40;SCS&#41; are presented&#46; A total of 39 patients were tested and 33 definitively implanted&#46; The main presenting syndrome was low back pain in 3 patients&#44; deafferentation pain as a consequence of root lesion in 5 cases and&#44; finally&#44; somatogenic sciatica in 31 patients&#46; In all patients a percutaneous technique was carried out using in almost all cases cuadripolar wires and fully implantable systems&#46; Electrodes were placed between Th11 and L1 spinal levels&#46; A total of 33 cases were implanted and 29 are using SCS for modulating their pain&#46; Complications were minor&#46; In one case a system was explanted due to infection&#46; The results indicate that SCS is useful for the treatment of the somatogenic sciatica following low back surgery&#46; However&#44; low back pain or deafferentation pain are no good indications for SCS&#46;</p>"
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                            0 => "M&#46; Meglio"
                            1 => "B&#46; Cioni"
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                        "tituloSerie" => "J&#46; Neurosurg&#46;"
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Tratamiento de las secuelas dolorosas de la cirugía discal del raquis lumbar con estimulación medular
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